Individual
MARY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 LAKE EDEN DR, BOYNTON BEACH, FL 33435-8637
(561) 752-4977
Mailing address
5 LAKE EDEN DR, BOYNTON BEACH, FL 33435-8637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5151816
FL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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